Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06008 | Date 30/07/2019 |
| Token No | SM/19-20/7613 30/07/2019 | Serial | 062 Last Visit: 30/07/2019 |
| Patient Name | Mrs. CHAMPA SARKAR | Contact No | 6289467707 |
| Address | 147 RAJDHARPUR , SERAMPORE | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||